HomeMy WebLinkAboutCOMCAST OF CALIFORNIA / COLORADO LLC - INSURANCE CERTIFICATEACORO
® CERTIFICATE OF LIABILITY INSURANCE
DATE 12012 VVYY)
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THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
MARSH USA INC.
1717 Arch Street
PNladelphia, PA 19103-2797
Alin: Comcast.Certs@marsh.com Far:212-9480360
CONTACT
NAME:
PHONE FAX
ANC N4. A/C No
ADDRESS:
INSURERS AFFORDING COVERAGE
NAIC N
INSURER A: ACE American Insurance Company
22667
05194-ALL GAWU-12-13 COMCA DENVE CO
INSU@@ED
--j COMCAST OF CALIFORNINCOLORADO, LLC
8000 E. ILIFF AVE.
INSURER B: ACE Property And Casually Ins Co
20699
Indemnify Ins Co Of North America
INSURERC: y
43575
INSURER D
DENVER, CO 80231
INSUflEfl E
INSURER F:
COVERAGES CERTIFICATE NUMBER- CLE-003257946-10 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
ADDL
UBR
POLICY NUMBER
POLICY EFF
MM/DDNYYY
POLICY EXP
MWDONYYV
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 4,900,000
DAMAGE TOPNTED
PREMISES Ea occurrence
4.900,000
$
A
X COMMERCIAL GENERAL LIABILITY
XSL G27014598
1210112012
12/0112013
MEDEXP(An onoperson)
$ 10,000
CLAIMS -MADE MOCCUR
PERSONAL 8 ACV INJURY
$ 4,900,000
X
$100,o00SIR
GENERAL AGGREGATE
$ 25,000,000
GEML AGGREGATE
LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ 6,000,000
$
X POLICY
PRO- LOC
AUTOMOBILE LIABILITY
ccci entSINGLE LIMIT
(Pa accident)
S 10,000,000
BODILY INJURY (Per person)
$
A
� X ANY AUTO
ISA H08712773
1210112012
1210112013
BODILY INJURY (Re, accident)
$
ALL OWNED SCHEDULED
AUTOS AUTOS
NON -OWNED
HIRED AUTOS AUTOS
PROPERTY DAMAGE
Per acciden
$
$
X
UMBRELLA LIAR
X
OCCUR
EACH OCCURRENCE
$ 5,000,000
B
EXCESS LIAB
CLAIMS -MADE
XOO G27049175
1210112012
12/0112043
AGGREGATE
$ 5.000,000
DED RETENTIONS
$
C
WORKERS COMPENSATION
WLRC47127075(ADS)
1210112012
1210112013
X WCSTATU- EEL -
E.L. EACH ACCIDENT
2,000.000
$
A
A
A
AND EMPLOYERS' LIABILITY
ANY PROR IETORIPAHTNER/E%ECUTIVE YIN
OFFICERIMEMBER EXCLUDED? ❑N
(Mandatory in NH)
If describe under
DESCRIPTION OF OPERATIONS below
NIA
WLRC47127087 (CA)
)
WLRC47127099(MN )
SCFC47127105 WI
( 1
1210112012
1210112012
12/01/2012
1210112013
1210112013
12/0112013
E.L. DISEASE -EA EMPLOYE
$ 2,000,000
E.L. DISEASE -POLICY LIMIT
2,000.000
$
DESCRIPTION OF OPERATIONS LOCATIONS / VEHICLES (ARach ACORD 101, Additional Remarks Schedule, it more space is required)
CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED AS RESPECTS THE GENERAL LIABILITY POLICY WHERE REQUIRED BY WRITTEN CONTRACT WITH THE NAMED INSURED. $100,000
PER OCCURRENCE SELF INSURED RETENTION APPLIES ONLY TO THE ABOVE GENERAL LIABILITY POLICY.
CERT!F!CATE HOLDER CANCELLATION
CITY OF FORT COLLINS, COLORADO
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
ATTN: CABLE ADMINISTRATOR
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
PO BOX 580
ACCORDANCE WITH THE POLICY PROVISIONS.
FT. COLLINS, CO 80522
AUTHORIZED REPRESENTATIVE
of Marsh USA Inc.
Manashi Mukherjee-3'4auoc+'LL.�Cnae.'-
01988-2010 ACUHU CUHYUHA I RUN. All rlgnrs reserVea.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD